	<form  method="post" action="https://secure.ebs.in/pg/ma/sale/pay" name="frmTransaction" id="frmTransaction">
	<?php
	$secretKey = Message::SECRETKEY;
	$account_id = Message::ACCOUNT_ID;
	$refrence_no = Message::REFRENCE_NO;
	$return_url = Message::RETURN_URL;
	$mode = Message::MODE;
	?>
	<input name="account_id" type="hidden" value="<?php echo $account_id; ?>">
	<input name="return_url" type="hidden" value="<?php echo $return_url; ?>" />
	<input name="user_id" id="user_id" type="hidden" value="" />
	<input name="email" id="user_email" type="hidden" value="" />
	<input name="name" id="user_name" type="hidden" value="" />
	<input name="mode" type="hidden" size="60" value="<?php echo $mode; ?>" />
	<input name="amount" id="amount" type="hidden" value=""/>
	<input name="reference_no" type="hidden" value="<?php echo $refrence_no; ?>" />
	<input name="description" type="hidden" value="<?php echo Message::EBS_DESCRIPTION; ?>" /> 
	<input name="address" type="hidden" maxlength="255" value="<?php echo Message::EBS_ADDRESS; ?>" />
	<input name="city" type="hidden" maxlength="255" value="<?php echo Message::EBS_CITY; ?>" />
	<input name="state" type="hidden" maxlength="255" value="<?php echo Message::EBS_STATE; ?>" />
	<input name="postal_code" type="hidden" maxlength="255" value="<?php echo Message::EBS_POSTAL_CODE; ?>" />
	<input name="country" type="hidden" maxlength="255" value="<?php echo Message::EBS_COUNTRY; ?>" />
	<input name="phone" type="hidden" id="phone" maxlength="255" value="<?php echo Message::EBS_PHONE; ?>" />
	<input name="ship_name" id="ship_name" type="hidden" maxlength="255" value="" />
	<input name="ship_address" type="hidden" maxlength="255" value="<?php echo Message::EBS_ADDRESS; ?>" />
	<input name="ship_city" type="hidden" maxlength="255" value="<?php echo Message::EBS_CITY; ?>" />
	<input name="ship_state" type="hidden" maxlength="255" value="<?php echo Message::EBS_STATE; ?>" />
	<input name="ship_postal_code" type="hidden" maxlength="255" value="<?php echo Message::EBS_POSTAL_CODE; ?>" />
	<input name="ship_country" type="hidden" maxlength="255" value="<?php echo Message::EBS_COUNTRY; ?>" />
	<input name="ship_phone" type="hidden" id="ship_phone" maxlength="255" value="<?php echo Message::EBS_PHONE; ?>" />
	<input name="secure_hash" id="secure_hashPOP" type="hidden" value="" />
	<!--<input name="submit" value="Checkout" class="btn" id="checkoutbtn" type="submit" />-->
	</form>